Pruitt, Katie Martin

Pruitt, Katie Martin is an individual health care provider with primary practice located at 1970 Roanoke Blvd , Salem VA 24153-6404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Pruitt, Katie Martin can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Salem VA 24153-6404
Phone: (540) 982-2463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024186013 Virginia

Profile Details

NPI number 1215641071
LBN Legal business name Pruitt, Katie Martin
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2023
Last updated Jan 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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